Ambetter · PayerPolicy · AMBETTER-CONCERT-GENETIC-TESTING-HEREDITARY-CANCER
Summary of the payer’s published policy. Not a coverage determination — confirm with Ambetter before submitting.
Free account. Policy pages stay open to everyone.
Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.
| Code | Code system | Status in this policy |
|---|---|---|
| 0101U | CPT | Referenced |
| 0102U | CPT | Referenced |
| 0129U | CPT | Referenced |
| 0130U | CPT | Referenced |
| 0131U | CPT | Referenced |
| 0132U | CPT | Referenced |
| 0133U | CPT | Referenced |
| 0134U | CPT | Referenced |
| 0135U | CPT | Referenced |
| 0136U | CPT | Referenced |
| 0137U | CPT | Referenced |
| 0138U | CPT | Referenced |
| 0157U | CPT | Referenced |
| 0158U | CPT | Referenced |
| 0159U | CPT | Referenced |
| 0160U | CPT |
| Referenced |
| 0161U | CPT | Referenced |
|---|
| 0162U | CPT | Referenced |
|---|
| 0235U | CPT | Referenced |
|---|
| 0238U | CPT | Referenced |
|---|
| 0474U | CPT | Referenced |
|---|
| 0475U | CPT | Referenced |
|---|
| 81162 | CPT | Referenced |
|---|
| 81163 | CPT | Referenced |
|---|
| 81166 | CPT | Referenced |
|---|
| 81167 | CPT | Referenced |
|---|
| 81201 | CPT | Referenced |
|---|
| 81202 | CPT | Referenced |
|---|
| 81203 | CPT | Referenced |
|---|
| 81212 | CPT | Referenced |
|---|
| 81215 | CPT | Referenced |
|---|
| 81216 | CPT | Referenced |
|---|
| 81217 | CPT | Referenced |
|---|
| 81292 | CPT | Referenced |
|---|
| 81293 | CPT | Referenced |
|---|
| 81294 | CPT | Referenced |
|---|
| 81295 | CPT | Referenced |
|---|
| 81296 | CPT | Referenced |
|---|
| 81297 | CPT | Referenced |
|---|
| 81298 | CPT | Referenced |
|---|
| 81299 | CPT | Referenced |
|---|
| 81300 | CPT | Referenced |
|---|
| 81307 | CPT | Referenced |
|---|
| 81308 | CPT | Referenced |
|---|
| 81317 | CPT | Referenced |
|---|
| 81318 | CPT | Referenced |
|---|
| 81319 | CPT | Referenced |
|---|
| 81321 | CPT | Referenced |
|---|
| 81322 | CPT | Referenced |
|---|
| 81323 | CPT | Referenced |
|---|
| 81351 | CPT | Referenced |
|---|
| 81352 | CPT | Referenced |
|---|
| 81401 | CPT | Referenced |
|---|
| 81403 | CPT | Referenced |
|---|
| 81404 | CPT | Referenced |
|---|
| 81405 | CPT | Referenced |
|---|
| 81406 | CPT | Referenced |
|---|
| 81408 | CPT | Referenced |
|---|
| 81432 | CPT | Referenced |
|---|
| 81433 | CPT | Referenced |
|---|
| 81435 | CPT | Referenced |
|---|
| 81436 | CPT | Referenced |
|---|
| 81437 | CPT | Referenced |
|---|
| 81438 | CPT | Referenced |
|---|
| 81479 | CPT | Referenced |
|---|
| S3840 | HCPCS | Referenced |
|---|
| S3841 | HCPCS | Referenced |
|---|
| S3842 | HCPCS | Referenced |
|---|
| C24.1 | ICD10CM | Referenced |
|---|
| C71.6 | ICD10CM | Referenced |
|---|
| C74.1 | ICD10CM | Referenced |
|---|
| C75.0 | ICD10CM | Referenced |
|---|
| C75.3 | ICD10CM | Referenced |
|---|
| C95.9 | ICD10CM | Referenced |
|---|
| D14.3 | ICD10CM | Referenced |
|---|
| D23.9 | ICD10CM | Referenced |
|---|
| D35.00 | ICD10CM | Referenced |
|---|
| D35.2 | ICD10CM | Referenced |
|---|
| D44.7 | ICD10CM | Referenced |
|---|
| E31.2 | ICD10CM | Referenced |
|---|
| F84.0 | ICD10CM | Referenced |
|---|
| K63.5 | ICD10CM | Referenced |
|---|
| K86.2 | ICD10CM | Referenced |
|---|
| M27.4 | ICD10CM | Referenced |
|---|
| N50.3 | ICD10CM | Referenced |
|---|
| Q75.3 | ICD10CM | Referenced |
|---|
| Q85.8 | ICD10CM | Referenced |
|---|
| Q87.89 | ICD10CM | Referenced |
|---|
| Z12.83 | ICD10CM | Referenced |
|---|